Topologically engineered antibodies and Fc-fusion proteins: a new class of multifunctional therapeutic candidates for SARS-CoV-2, cancer, and other disease

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Abstract

The ability of antibodies and Fc-fusion proteins to bind multiple targets cooperatively is limited by their topology. Here we describe our discovery that ACE2 Fc-fusion proteins spontaneously cross-dimerize, forming topologically distinct “superdimers” that demonstrate extraordinary SARS-CoV-2 intra-spike cooperative binding and potently neutralize Omicron B.1.1.529 at least 100-fold better than eight clinically authorized antibodies. We also exploited cross- dimerization to topologically engineer novel superdimeric antibodies and Fc-fusion proteins with antibody-like plasma half-lives to address cancer and infectious disease therapy. These include bispecific ACE2-antibody superdimers that potently neutralize all major SARS-CoV-2 variants, and bispecific anti-cancer and anti-viral antibody superdimers that are more potent than two-antibody cocktails. Superdimers are efficiently produced from single cells, providing a new therapeutic approach to many disease indications.

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  1. SciScore for 10.1101/2022.03.23.485397: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Ethicsnot detected.
    Sex as a biological variableA total of 24 male golden hamsters 6-8 weeks old were assigned to four groups (n=6).
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    A secondary antibody, Alexa Fluor 647-conjugated AffiniPure Goat Anti-Human IgG, F(ab’)2, Cat#109-605-097 or Affinipure Rabbit Anti-Human IgG Fcγ fragment specific, Cat#309-005-008 (Jackson ImmunoResearch, West Grove, PA), at a final concentration of 0.5 μg/mL was used to detect the unbound fraction.
    Anti-Human IgG
    suggested: (Jackson ImmunoResearch Labs Cat# 109-605-097, RRID:AB_2337888)
    Biotinylated goat anti human-Fab antibody, Cat#ab64666 (Abcam, Cambridge, UK), or biotinylated goat Anti-Human ACE-2 antibody, Cat#DY933-05 (R&D Systems, Minneapolis, MN) was used as a detection antibody.
    anti human-Fab
    suggested: None
    Anti-Human ACE-2
    suggested: None
    The Rituxan and FMC63 antibodies were labeled with AF488, Cat#ab236553, and AF647, Cat#ab269823 (Abcam), respectively, according to the manufacturer’s instructions.
    FMC63
    suggested: None
    AF647
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Methods and Materials: Mammalian expression and purification of recombinant proteins: Recombinant proteins were expressed by transient expression in CHO-K1 cells adapted to serum- free suspension culture (TunaCHO) using a mammalian expression vector and purified by Protein A affinity chromatography (LakePharma, San Carlos, CA).
    CHO-K1
    suggested: CLS Cat# 603480/p693_CHO-K1, RRID:CVCL_0214)
    Live SARS-CoV-2 and NL63 neutralization assay: Infectious virus USA-WA1/2020, Cat#NR-52281, and NL63, Cat#NR-470 (BEI, Manassas, VA) was expanded using a single passage in Vero/TMPRSS2 cells.
    Vero/TMPRSS2
    suggested: JCRB Cat# JCRB1818, RRID:CVCL_YQ48)
    Experimental Models: Organisms/Strains
    SentencesResources
    Pharmacokinetic (PK) assays: The study was conducted by The Jackson Laboratory, Bar Harbor, ME using 6-8 week old male B6.Cg-Fcgrttm1Dcr Tg(FCGRT)32Dcr/DcrJ mice homozygous for the human FcRn transgene.
    B6.Cg-Fcgrttm1Dcr Tg(FCGRT)32Dcr/DcrJ
    suggested: RRID:IMSR_JAX:014565)
    Software and Algorithms
    SentencesResources
    Astra v6.1.7 software (Wyatt Technology) was used for light scattering and refractive index data acquisition and processing.
    Astra
    suggested: (ASTRA, RRID:SCR_016255)
    Pharmacokinetic (PK) analysis: Noncompartmental pharmacokinetic data analysis was performed using Phoenix WinNonlin v8.3 (Certara, Princeton, NJ).
    Phoenix WinNonlin
    suggested: None
    Kinetic data were obtained using IncuCyte 2021A software (Sartorius) before area-under-the-curve (AUC) (mean ± SEM) and non-linear regression analysis were performed using GraphPad Prism v9.3.1.
    GraphPad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • No funding statement was detected.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.